Organization Active NPI

Affordable Optical of Wheeling,Inc

  • Optometrist
  • Wheeling, IL
National Provider Identifier
1750657110
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AFFORDABLE OPTICAL OF WHEELING,INC
Practice address
92 S. Milwaukee Ave
Wheeling, IL 60090
Phone
(847) 419-9009
Fax
(847) 419-9008
NPI assigned
Mar 29, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFORDABLE OPTICAL,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Inna Azrikan
Title
Manager
Phone
(847) 855-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

92 S. Milwaukee Ave
Wheeling, IL 60090

Mailing address

92 S. Milwaukee Ave
Wheeling, IL 60090
Phone (847) 419-9009

National Provider Directory

National Provider Directory
Part of
Affordable Optical Inc

Locations

92 S Milwaukee Ave
Wheeling, IL 60090
Phone (847) 419-9009

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1750657110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 S. MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-419-9009",
            "fax_number": "847-419-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 S. MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-419-9009",
            "fax_number": "847-419-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE OPTICAL OF WHEELING,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFORDABLE  OPTICAL,INC",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "AZRIKAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-855-9009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.